Healthcare Provider Details

I. General information

NPI: 1013309293
Provider Name (Legal Business Name): DIABETIC CARE RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2015
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3890 PARK CENTRAL BLVD N
POMPANO BEACH FL
33064-2264
US

IV. Provider business mailing address

3890 PARK CENTRAL BLVD N
POMPANO BEACH FL
33064-2264
US

V. Phone/Fax

Practice location:
  • Phone: 866-348-0441
  • Fax: 888-503-6982
Mailing address:
  • Phone: 866-348-0441
  • Fax: 888-503-6982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License NumberPH22190
License Number StateFL

VIII. Authorized Official

Name: DENISE FOLCHETTI
Title or Position: GROUP VP OF OPERATIONS
Credential:
Phone: 954-864-2940